A physically handicapped teenager is helped to own her body

In this paper I am presenting my work with a 15-year-old girl, Nina, who was born premature with congenital feet deformities. Her twin had died at birth, and Nina spent eight weeks in a Special Care Baby unit. She had also suffered from bronchial asthma, which was under control during the months she was in therapy with me.

An attempt to overdose, and a letter she had written to a teacher, brought Nina to our services and to individual psychotherapy. The weekly sessions gave Nina the opportunity to elaborate her mourning for the dead twin and to face her physical problems more realistically. She had coped with these by idealising a beautiful body and giving it, in her phantasy, to her dead sister for whose death she felt responsible. Her identification with characters from horror stories, of which she was an avid reader, was a key to understanding how she felt trapped in her deformed body, to which she would refer in the phrase ‘It doesn't bother me.’ The working through of her feelings of guilt, anger, and envy enabled her to lessen the split and to own her body.